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It has previously been suggested that mucosal immunity tends to be short-lived and that vaccines targeted to the mucosa may be less immunogenic at these sites [43], which are limitations that need to be overcome for efficacious mucosal-targeted vaccines

Evidence that repetitive disasters, as has occurred on the Gulf Coast, create a cumulative effect on mental and behavioral health, has been among the factors leading to efforts to improve individual and community resilience (Hansel et al., 2015